Individual
LAURIE BANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1204 DEWEY AVE, POTEAU, OK 74953-4414
(918) 647-8601
Mailing address
1204 DEWEY AVE, POTEAU, OK 74953-4414
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2303
OK
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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